Sales and Use Tax Exemption Certificate Forest Products Virginia - PDF

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					                                                                            Uniform Sales & Use Tax
                         pany                                           Certificate Multi-Jurisdiction
 supply com
 Issued To (Seller): Baer Supply Company                       Address: 909 Forest Edge Drive, Vernon Hills, IL 60061
 I certify:
 Name of Company (Buyer):
 City:                                                  State:                                        Zip:
 Select one:       Wholesaler          Retailer       Manufacturer             Lessor           Other (specify)

Is registered with the listed states and cities to the right     Description of Business:
within your firm would deliver purchases to us and that
                                                                 City/State:                            State Registration or ID #:
any such purchases are for wholesale, resale, ingredients
or components of a new product to be resold, leased or
rented in the normal course of our business. We are in
the business of wholesaling, retailing, manufacturing
and leasing (renting) the following:

I further certify that if any property so purchased tax free is used or consumed by the firm as to make it subject to a Sales or Use Tasx we will pay the tax
due direct to the proper taxing authority when state law so provides or inform the seller for added tax billing. This certificate shall be part of each order
which we may hereafter give to you, unless otherwise specified and shall be valid until canceled by us in writing or revoked by the city or state.

 General description of products to be purchased from the seller:

Under penalties of perjury, I swear of affirm that information on this form is true and correct as to every material matter.

 Authorized Signature (Owner, Partner or Corporate Officer):                      Title:                                          Date:

To our customers: In order to comply with the majority of state and local sales tax law requirements, we must have in our files a properly executed
exemption certificate from all of our customers who claim sales tax exemption. If we do not have this certificate, we are obligated to collect the tax for
the state in which the property is delivered.

If you are entitled to sales tax exemption, please complete the certificate and send it to use at your earliest convenience. If you purchase tax free for a
reason for which this form does not provide, please send us your special certificate or statement.

This form of certificate has been determined to be acceptable to the following states: Alabama, Alaska, Arizona*, Arkansas, Colorado, Connecticut, District
of Columbia, Georgia, Idaho, Illinois**, Iowa**, Kansas, Maine, Maryland, Massachusetts, Michigan, MInnesota, Missouri, Nebraska, New Mexico, North Dakota,
Oklahoma*, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Washington, Wisconsin***, West Virginia, Wyoming

Note: *       Arizona and Oklahoma law provides that a seller will be held liable for sales tax due on any sales with respect to which an exemption
              certificate is found to be invalid, for whatever reason.
         **   Illinois and Iowa do not have an exemption on sales of property for subsequent lease or rental.
         *** Wisconsin allows this certificate to be used only when the item will be resold in the same form. If the sale is nontaxable because otherwise
             specifically exempt, the basis for the claimed exemption must be specifically stated.
         **** Mississippi - a copy of your tax permit will be accepted. For all other states not listed above, please contact us for the proper form.

                                            909 Forest Edge Drive, Vernon Hills, IL 60061
                              800-BUY-BAER (289-2237) • Fax: 888-558-2237 •

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